Exam 2
The most widely recognized subspecialty in forensic nursing. This nurse assesses and documents detailed examination findings, collects forensic evidence related to a reported crime, and frequently testifies as an expert witness in court.
Who is sexual assault nurse examiner (SANE)?
With this "level", the occupational health nurse plays a key role in the rehabilitation and restoration of the worker to an optimal level of functioning.
Remember: Occupational health nurses manage workers compensation cases as well.
What is tertiary level?
True or False
For hospice patients the nurse should discuss the wishes of the client first (pain meds? hospitalizations)
Nurse should then educate the patient and family about hospice care (pain meds, pleasure feeding, dying and dignity of end of life care
Nurse should then provide comfort measures to the client (pain meds etc).
Lastly discuss nutrition and provide it.
True
Community nurses can work in all these settings? SATA
A. Hospice & Home Health
B. Occupational Nurse
C. SANE/Forensic nurse
D. School nurse
E. ICU & ER
"E" is incorrect. ER & ICU will rarely see a community nurse.
In other hospital units for sure. For example community nurse may go for a hospice or home health consult for patients.
Gives the nurse the opportunity to establish a trust relationship with the client and family to establish credibility as a resource for health information and community referrals in a nonthreatening environment.
What is the first home visit?
Which statements about Hospice are true? SATA
A. Anyone on antibiotics, chemo & radiation should not be admitted to hospice.
B. Family can call 911 for immediate concerns.
C. Patient has terminal illness and has 16 months to live
D. Pain management, repositioning and any other palliative care must be part of the daily care of hospice patients.
C is incorrect. Hospice patients in most cases have 6 or less months to live.
Which of the following statements are true regarding abuse?
A. The victim is usually vulnerable: elderly, women and children.
B. The injuries of abused children do not correlate with the child's developmental level.
C. Injuries are in various stages of healing
D. Reports of abuse must not be initiated until there is hard evidence.
All statements are true except D. Healthcare workers are mandatory reporters and need to report abuse even if there is just a suspicion of abuse.
Remember violence and abuse will not stop on it's own.
Select All the correct statements regarding rural population?
A. Rural and migrant workers have increased risks to injury and illness from chemicals used.
B. Rural population have fewer healthcare providers and facilities.
C. This population have increased risk of poverty due to lower incomes.
D. Access to healthcare is not a priority for this population.
E. Rural population often travel long distance to seek medical assistance.
"D" is incorrect. Access to healthcare is a priority to this population.
The role of Prison nurse includes the following responsibilities. SATA
A. Maintain a safe and humane environment for inmates.
B. Remain in an enclosed environment with an inmate.
C. Have a professional relationship at ALL times
D. Be open to accept gifts from inmates
"B" is incorrect. Never be in an enclosed space with the inmate.
"D" is incorrect.
True or False
Hospice care is used for terminal illness, focuses on symptom relief, and may include assessing physical symptoms. Clients in hospice care are not waiting for a cure as the focus is only on comfort. Hospice care is for clients with 6 months or less life expectancy.
True
Which of the following issues will affect the nutrition of the elderly population? SATA
A. Chronic illness or medications
B. Abuse of alcohol
C. Lack of energy or functional inability to prepare foods.
D. Insufficient income
E. Changes in taste, appetite, and a diminished thirst
F. Weight gain
A, B, C, D & E are correct.
F is incorrect. Elderly person is likely to lose weight due to chronic illness, social isolation and lack of nutritious foods.
Which statements are true regarding Occupational nurse? SATA
A. Occupational nurses make up the largest professional group providing health care services to employees in highly complex work environments.
B. Occupational nurses should begin any work/job by first understanding the nature of the job.
C. Occupational nurses work to prevent injury in workplace.
D. If injury occurs the Occupational Nurse helps to get the disability leave of absence for the client.
E. Post injury Occupational Nurse helps patients return to work (often with adjustments).
All the statements are true!
The most critical health care issues among the incarcerated population are chronic and this.
What are communicable diseases such as HIV, Hep B, TB, STDS
Select the correct statements.
A. Mental health clients often have underlying disease/comorbidities.
B. Stigma attached to mental illnesses lead to decreased treatment being sought out.
C. There is NO lack of trained mental health professionals.
D. Lack of funding is a concern.
"C" is incorrect. There is a lack of trained mental health professionals.
Caring for a terminally ill person at home demands that the nurse view the family system as this.
What is a Unit
Which of the following statements are true regarding homeless population? SATA
A. They are lazy and crazy
B. Shelter and housing is their priority
C. They are quick in seeking assistance at emergency rooms.
D. Nurse should address their complaints first.
A & C are incorrect.
People do not lose their home due to laziness. Housing is expensive and not all people can afford it.
Homeless people delay seeking early treatment because food and shelter are their priority
Which statements are true regarding disabled population? SATA
A. The caregiver is responsible for most of the care.
B. Disabled children should be main streamed in educational facilities.
C. The bulk of the care for disabled children is on the society.
D. Children with disabilities have the potential to be underachievers.
E. Nurses taking care of disabled clients should form a trusting relationship, collaborate to set goals and refer them to the appropriate resources.
A, B, D & E are correct.
C is incorrect. It is the primary caregiver who takes care of the disabiled.
Which diseases are prevalent in the prison population? SATA
A. HIV, Hep B 7 other STDs.
B. Violence
C. Mental illnesses especially depression
D. Substance abuse
E. Chronic illnesses
All of the statements are true.
Facts to remember.
If a patient continues to be symptomatic a chest x-ray is not necessary; however, a sputum culture may be warranted to identify the infectious agent for selecting a more effective antibiotic.
Patient with allergic reaction needs _____
Epinephrine
When patients experience an increase in pain before it is time for the next dose of scheduled pain medication is described as this.
What is breakthrough pain
Which statements are true regarding RURAL population? SATA
A. Health care is NOT their number one priority.
B. Certain diseases are unique to this population.
C. Access to health care is an issue due to poverty.
D.
A is incorrect. Healthcare and access to healthcare is a huge problem in this population.
Which of the following health problems are prevalent in elderly population? SATA
A. Chronic illnesses such as DM, Cancer, HTN
B. Hearing problems
C. Vision
D. Testicular cancers
E. Osteoporosis
All are correct except D. Testicular cancer is almost always found in younger men.
For migrant workers nurse should do the following? SATA
A. Have empathy
B. Arrange for a translator.
C. Use various strategies most suitable for this population.
D. For language barrier arrange a translator.
E. Try to do educational sessions after work hours
"E" is incorrect. It is best to complete education during lunch hours.
For equity in health care remember these words
Underserved communities
Developing countries
Rural population
Homeless population
Poor communities with violence prevalent
School nurse does all of the following
Assess and screen
Keep records (immunizations)
Administer insulin
Important facts to remember:
Epi. first then call 911.
Always isolate the victim from the abuser to give them a chance to answer questions truthfully and privately.
Asian culture cook food with oil and add salt to their diet.
For culturally diverse population always ask to get firsthand information.
For home safety have electric wires tucked away.
Make sure smoke and carbon monoxide detectors are installed.
If there is violence and abuse in the home, nurse should leave and report to supervisor.
For client who is not responding to calls from H. Health nurse, the nurse should go to the client's house and leave her card there.